As a sufferer, I agree core work is the best course of action once the inflammation has died down – a couple of pilates classes are probably best to nail the exercises properly, and make sure you are firing the right muscles etc (there’s also the fact that if you have a dodgy disc then there are certain moves you shouldn’t do, and the teacher should be able to find you alternatives), otherwise there’s quite a bit you can do on a fit ball on your own as well. In the mean time, I kind of grade mine into the following treatments:
1) not too bad – couple of brufen (normal dose)
2)bit worse – couple of 400 mg brufen / ice pack (15 mins on, 30 mins of, repeat)
3)start on the other drugs: NSAIDS (diclofenac) ; coediene (makes me absolutely psychotic, so try to avoid); and if really bad valium (for the times when the muscle spasms mean I cant even get up or move a muscle without screaming)
One thing I found worked really well was the SO’s TENS machine (from when she was with sprog) – I had reached the screamy stage above and this at least enabled me to move around the bed if lying down or crawl to the bog – had to have it up full mind you to block the nerve. Might be worth a go to relieve some of the pain as it seemed to work reasonably well on low at other times.